A Low Budget DIY Vibrotactile Stimulator For Experimental CRS

February 18, 2023 by Dave Rowntree 7 Comments

Modern techniques of Coordinated Reset Stimulation (CRS), which is usually administered with invasive deep brain stimulation, can have a miraculous effect on those suffering from Parkinson’s disease. However, the CRS technique can also apparently be administered via so-called vibrotactile CRS (vCRS) which essentially means vibrating certain nerve endings corresponding to brain regions that have a large cortical representation.

An example is vibrating the tips of the fingers using special gloves. This is a medical technique and as such is governed by the FDA. With ongoing trials, patients all around the world will simply have to wait. [HackyDev] has been working with a group of people on developing an open source vCRS glove.

This neuromodulation technique seems so promising, that this upfront effort by hackers around the world is simply a joy to see. Patents be dammed; we can work around them. Interested parties can follow the (very long, tricky-to-follow) thread here.

The hardware [HackyDev] put together uses a nodeMCU as the controller, driving eight motor coils via MOSFETS. The finger-mounted actuators are constructed by ripping the electromagnet out of a relay and mounting it in a 3D printed frame, with a magnet suspended on a spring. This part is mounted on each finger. The nodeMCU presents a simple web form that enables the configuration of the pulse parameters.

A permanent magnet is housed in the spring’s top section

The way the gloves appear to work is due to the way the body perceives sensory input, with a massive bias towards the hands and mouth region, referred to as the cortical homunculus. Each finger has an individual haptic element, which is actuated in a specific sequence with a carefully formed pulse at approx. 250 Hz.

This appears to activate similar in-brain effects as traditional (and invasive) DBS therapy by effectively de-synchronizing certain over-synchronized brain pathways and alleviating the overactive ß-wave activity in the brain. And this calms the tremors as well as many other PD symptoms. It’s all very exciting stuff, and we’ll be following this story closely.

For more on the backstory check out the 2017 paper by Peter A. Tass, as well as this later one, and this one. We’ve seen some recent success with diagnosing or at least detecting PD, by smell as well as via audio, so the future might look a little brighter for quite a number of people.

A four-fingered partial hand prosthesis in fuschia with black fingerpads is attached to a man's left hand (palm and thumb are original). He holds the left hand + prosthetic with his right hand and an aluminum hand prosthetic sits on the table to the left of his hands.

Designing A Simpler Prosthetic Finger

January 22, 2023 by Navarre Bartz 5 Comments

Prosthetic limb design is an area where desktop manufacturing has made huge strides, but there’s always room for improvement. For example, take a look at [Ian Davis] and his attempts to design a simpler prosthetic finger.

[Davis] favors his aluminum partial hand prosthetic for its strength, but because it was scratch built for his particular situation, it isn’t easy to recreate for someone else. To this end, he has started working on a simpler design that might be applicable in the future for people who want to build their own prosthetics. With less than ten major components per finger including the replaceable TPU fingerpads, this is a major step toward that end.

According to [Davis], one of the more exciting parts of the build is that while this hand has a more limited feature set, he was able to get it closer to the size of his natural hand. Because of the durability problems he’s experienced for day-to-day use of plastic prosthetics, he is having the next iteration 3D printed in stainless steel for further testing.

If you want to see some more interesting prosthetic designs, checkout the Kid Who Designed His Own Prosthetic Arm or this Skull Lamp Prosthetic Eye.

Blood Pressure Monitoring, Courtesy Of Cameras And AI

December 21, 2022 by Lewin Day 60 Comments

At the basic level, methods of blood pressure monitoring have slowly changed in the last few decades. While most types of sphygmomanometer still rely on a Velcro cuff placed around the arm, the methodology used in measurement varies. Analog mercury and aneroid types still abound, while digital blood pressure monitors using electrical sensors have become mainstream these days.

Researchers have now developed a new non-invasive method of measurement that does away with the arm cuff entirely. The method relies entirely on video capture with a camera and processing via AI.

Continue reading “Blood Pressure Monitoring, Courtesy Of Cameras And AI” →

The display of a medical ultrasound scanner showing "HackedScan II"

Medical Ultrasound Scanner Gives Up Its Secrets, Runs DOOM

December 18, 2022 by Robin Kearey 4 Comments

Medical equipment often makes for interesting teardown videos: the strict requirements imposed by certification bodies mean you’ll find good quality components and a high standard of design and manufacturing. But when [Buy It Fix It] bought an ultrasound scanner on eBay, he wasn’t interested in tearing it down: his plan was to use it to find out if his sheep are in lamb, so he went on to repair it and modify it for its new purpose.

The device in question is a Mediwatch Bardscan II, which is meant to be used for scanning people’s bladders. The mainboard has a completely different model number however, which suggests that the basic design is used for several types of ultrasound scanners. The system is powered by an AMD Geode processor that runs Windows XP Embedded stored on a CompactFlash card, so examining the internal software is easy: the scanner interface even runs on a regular Windows PC.

Several files on the internal drive point at hidden features, with filenames like kidney.dib and liver.dib indicating that the instrument can scan more than just bladders. The drive also holds several versions of the scanning app, as well as a .ini file in which lots of features can be enabled or disabled. By running the executable through x32dbg, [Buy It Fix It] was even able to recover the password to enable the “Advanced Settings” menu — it’s “u10” in case you were wondering.

With a bit of file editing, [Buy It Fix It] managed to turn the rather basic system into a way more flexible ultrasound scanner. For example, he can now adjust the scan depth, replay previous scans and make notes on top of any captured images. It can even run DOOM, as he demonstrates at the end of the video — though we can imagine his sheep might not enjoy the sight of their owner approaching them with a box full of flame-throwing demons.

Medical ultrasound scanners, which have been around for quite a while, may appear to be complex machines, but it is possible to make a simple version with easily available components.

Continue reading “Medical Ultrasound Scanner Gives Up Its Secrets, Runs DOOM“ →

A scan (x-ray?) of a human skull. Electrodes trace around the skull and are attached to the brain. These implants are for reducing Parkinson's tremors.

What Happens When Implants Become Abandonware?

December 16, 2022 by Navarre Bartz 32 Comments

You’ve probably had a company not support one of your devices as long as you’d like, whether it was a smart speaker or a phone, but what happens if you have a medical implant that is no longer supported? [Liam Drew] did a deep dive on what the failure of several neurotechnology startups means for the patients using their devices.

Recent advances in electronics and neurology have led to new treatments for neurological problems with implantable devices like the Autonomic Technologies (ATI) implant for managing cluster headaches. Now that the company has gone out of business, users are left on their own trying to hack the device to increase its lifespan or turning back to pharmaceuticals that don’t do the job as well as tapping directly into the nervous system. Since removing defunct implants is expensive (up to $40k!) and includes the usual list of risks for surgery, many patients have opted to keep their nonfunctional implants. Continue reading “What Happens When Implants Become Abandonware?” →

The fully assembled RocketSwitch, with a 3D printed case on it and a USB-A connector sticking out, being held in someone's hand.

Rocket Switch – Accessibility Done With Elegance

December 4, 2022 by Arya Voronova 7 Comments

Quite a few makers try and create devices helpful to others – today’s hack, Rocket Switch, is a lovely example of that. It’s a design by [Neil Squire] of [Makers Making Change], with a PCB that plugs onto an Adafruit Rotary Trinkey, soldering onto its exposed pads, equipping it with two headphone jacks connected to GPIOs. This is a simple design – only two headphone jacks and resistors, complete with a 3D printed case. The value is not as much in its construction, but more in what the Rocket Switch provides to its users.

This is an accessibility-enabling controller, a USB HID device which interfaces to a wide variety of headphone-jack-connectable switches. With this device, someone unable to use a computer mouse can use two tactile buttons to control their computer, either by imitating mouse clicks or by sending keypresses into accessibility software equipped a control flow for such two-switch arrangements.

Everything is open-source, and there’s an impressive amount of documentation – for 3D printing, ordering, usage, design choice explanations, and of course, a picture-peppered 15-page tutorial PDF with detailed assembly instructions for anyone who might need a Rocket Switch. Plus, [Makers Making Change] created a page where both people in need and makers with some free time can sign up to exchange these devices. It’s not the first time we see a design like this – perhaps the most famous example is Microsoft’s Xbox Adaptive Controller, something that we’ve seen a dad use to build an entertainment platform for his daughter.

Continue reading “Rocket Switch – Accessibility Done With Elegance” →

App Detects Parkinsons Disease And COVID-19 Via Audio

November 28, 2022 by Lewin Day 20 Comments

One of the challenges of diagnosing diseases is identifying them early. At this stage, signs may be vague or confusing, or difficult to identify. Early diagnosis is often tied to the best possible treatment outcomes, so there’s plenty of incentives to improve methods in this way.

A new voice-based method of diagnosing disease could prove fruitful in this regard. It relies on machine learning techniques to detect when patients may be suffering from certain conditions.

Continue reading “App Detects Parkinsons Disease And COVID-19 Via Audio” →